Wake wezwa ngokuhlinzwa kokunciphisa amabele, lapho kususwa khona ibele elilodwa noma womabili ngaphambi kokuba akhule, ukuze kuncishiswe ingozi yokuba nomdlavuza webele? Nakuba lokhu kungase kuzwakale kukusha futhi kusabisa kancane kuwe, empeleni kuyindlela ebaluleke kakhulu yezokwelapha engasindisa impilo yakho kwabanye besifazane abasengozini enkulu yokuba nomdlavuza webele. Lesi yisinqumo somuntu siqu. Ngakho-ke, namuhla sizokhuluma ngalokhu, okungukuthi, 'Ukuhlinzwa Kwebele Okungavinjelwa', ngendlela elula ongayiqonda.
Kalula nje, kuyini i-Prophylactic Mastectomy?
Nakuba igama lingase lizwakale liyinkimbinkimbi, lo mqondo ulula. Ukususwa kwebele eliphilile noma amabele womabili ngaphambi kokuba umdlavuza uqale, ngenhloso yokunciphisa ingozi yomdlavuza webele.
Kalula nje, lokhu "ukuhlinzwa kwebele okuvimbelayo." Abanye abantu bakubiza nangokuthi 'ukuhlinzwa kwebele okuvimbelayo' noma 'ukuhlinzwa kwebele okunciphisa ubungozi.' Lokhu kwenzelwa ukunciphisa ingozi yokuba nomdlavuza esikhathini esizayo, kunokuba welashwe uma usuvele ukhona.
Ubani okufanele acabangele lokhu kuhlinzwa? Ingabe wonke umuntu uyakudinga lokhu?
Cha, akunjalo neze. Lokhu kuhlinzwa akufanele wonke umuntu. Umuntu osengozini evamile akufanele acabangele lolu hlobo lokuhlinzwa. Udokotela wakho uzokuphakamisa lokhu kuphela uma kuqinisekiswa ukuthi usengozini enkulu kakhulu yokuba nomdlavuza webele.
Kulungile, ake sibone ukuthi yiziphi lezo zici eziyingozi kakhulu.
- Ukuba nomlando oqinile womndeni womdlavuza: Uma isihlobo esiseduze (isibonelo, umama wakho, udadewenu, noma indodakazi yakho) sibe nomdlavuza webele, ingozi yakho iyanda kakhulu. Lokhu kuyiqiniso ikakhulukazi uma lowo muntu eba nomdlavuza engakafiki eminyakeni engu-50 .
- Ukuba nomlando womuntu siqu womdlavuza: Ake sithi usuvele unomdlavuza kwelinye ibele, futhi udinga ukuhlinzwa ukuze kususwe lelo bele njengokwelashwa. Ngaleso sikhathi, abanye abantu banquma ukuthi nelinye ibele eliphilile lisuswe, ukuze kuncishiswe ingozi yokuba nomdlavuza kulolo hlangothi esikhathini esizayo. Kodwa-ke, lokhu akuthinti isimo somdlavuza okhona noma ezinye izindlela zokwelapha ezingase zinikezwe wona.
- Ukuhlolwa Kwezakhi Zofuzo Okuhle: Izinguquko noma ukuguquka kwezakhi zofuzo ezithile emzimbeni wethu kungandisa kakhulu ingozi yokuba nomdlavuza. I-BRCA1 ne -BRCA2 yizakhi zofuzo ezimbili ezinkulu. Uma ukuhlolwa kwezakhi zofuzo kuqinisekisa ukuthi unesinye salezi zakhi zofuzo, ingozi yakho yokuba nomdlavuza webele iphezulu kakhulu. Esimweni esinjalo, ungase ucabangele lokhu kuhlinzwa.
- Ukwelashwa ngemisebe esikhathini esidlule: Uma wake welashwa ngemisebe esifubeni nganoma yisiphi isizathu, ikakhulukazi phakathi kweminyaka eyi-10 nengama-30 (ngomdlavuza othile, njenge-Hodgkin's lymphoma), ingozi yakho yokuba nomdlavuza webele esikhathini esizayo inganda.
Lesi yisinqumo esibaluleke kakhulu. Akuyona into okufanele uyenze wedwa. Kufanele ukhulume nodokotela wakho, udokotela ohlinzayo, nomndeni wakho ngokucophelela futhi uqonde zonke izinzuzo nezingozi ngaphambi kokwenza isinqumo.
Lokhu kuhlinzwa kunciphisa kangakanani ingozi?
Lona ngumbuzo obaluleke kakhulu. Yebo, ukuphepha kwalokhu kuhlinzwa kuphezulu kakhulu kulabo abasengozini enkulu. Izifundo zithole ukuthi:
- Lokhu kuhlinzwa kunganciphisa ingozi yomdlavuza webele kwabesifazane abane -BRCA1 noma i-BRCA2 gene mutation cishe ngo- 95% , okusho ukuthi ingozi cishe iqedwe ngokuphelele.
- Abesifazane abanomlando oqinile womndeni womdlavuza banganciphisa ingozi yabo cishe ngo -90% .
Leli yiphesenti eliphezulu kakhulu, yingakho kuyinketho enhle kulabo abasesigabeni esinobungozi obukhulu.
Ingabe kunezinhlobo ezahlukene zalolu hlinzeko?
Yebo, kunezindlela eziningana ezahlukene zokwenza lokhu kuhlinzwa kuye ngezidingo zesiguli, uhlobo lomzimba, kanye nezincomo zikadokotela. Ake sikuqonde kahle kusukela kuleli thebula.
| Uhlobo lokuhlinzwa | Incazelo elula |
|---|---|
| Ukuhlinzwa Kwesisu Kwamacala Amabili | Lokhu kuhilela ukususwa ngokuphelele kwamabele womabili. Le ndlela ivame ukukhethwa yilabo abanezici zofuzo eziyingozi. |
| Ukususwa Kwesisu Esingaphandle Kwesisu (ngaphambana) | Lokhu kubizwa ngokuthi i-mastectomy, okuyilapho umuntu onomdlavuza kwelinye ibele ekhishwa elinye ibele eliphilile ngesikhathi esifanayo naleso lelo bele likhishwa ngaso. |
| Ukususwa Kwesisu Okungaphazamisi Isikhumba | Lapha, kususwa ingono kanye nendawo emnyama eyizungezile (i-areola), bese kususwa izicubu zebele ezingaphakathi kuphela ngaleyo ndlela encane yokusikwa. Ingxenye enkulu yesikhumba sebele ishiywa ngemuva. |
| Ukususwa Kwebele Okungadingi Ingono | Ngale ndlela, kususwa izicubu zebele ezingaphakathi kuphela, kushiye ingono nendawo eyizungezile ingathintekile. |
| Ukuhlinzwa Kwesisu Ngokuvuselelwa Kabusha | Ukuhlinzwa kokuvuselelwa kwebele kwenziwa ngesikhathi esifanayo noma ngemva kokuhlinzwa kwebele. Lokhu kungenziwa kusetshenziswa izimila ze-silicone noma izicubu ezithathwe kwenye ingxenye yomzimba (isib. isisu). |
Kwenzekani ngaphambi nangesikhathi sokuhlinzwa?
Udokotela wakho uzokunikeza yonke imiyalelo edingekayo ngaphambi kokuhlinzwa. Ngosuku lokuhlinzwa, uzofakwa ingubo yesibhedlela futhi uxhunywe intambo ye-IV engalweni yakho. Lokhu kuzokufaka ngaphansi kwe-anesthesia ejwayelekile, okusho ukuthi ngeke uzwe lutho ngesikhathi sokuhlinzwa futhi uzolala ngokuphelele.
Bese bemyisa egumbini lokuhlinza, bese udokotela ohlinzayo eqala ukuhlinzwa.
1. Okokuqala, kwenziwa i-incision endaweni efanele ebeleni.
2. Ngemuva kwalokho, izicubu zesifuba zihlukaniswa ngokucophelela esikhumbeni nasemisipheni yesifuba.
3. Izicubu zebele ezisusiwe zisusiwe ngokuphelele. Uma uhlela ukwakhiwa kabusha kwebele, leso sinyathelo singaqala ngalesi sikhathi.
4. Ngemva kokuhlinzwa, kufakwa amapayipi amaningana abizwa ngokuthi ama-drain ukuze kukhishwe uketshezi oluningi (igazi, amanzi, njll.) oluqongelela ngaphakathi kwenxeba. Lokhu kuyasuswa ezinsukwini ezimbalwa.
5. Ekugcineni, i-incision iyathungwa futhi imbozwe kahle ngebhandeji.
Lokhu kuhlinzwa kuvame ukuthatha cishe amahora amabili kuya kwamathathu, kodwa uma ukuvuselelwa kwamabele kwenziwa ngesikhathi esifanayo, kungathatha isikhathi eside.
Kwenzekani ngemva kokuhlinzwa? Kuthatha isikhathi esingakanani ukululama?
Kuzodingeka uhlale esibhedlela cishe usuku olulodwa ngemuva kokuhlinzwa. Lesi sikhathi singahluka kuye ngesimo sakho sempilo nokuthi ngabe uhlinzwe kabusha yini.
Ngesikhathi sokululama kwakho, ithimba lezokwelapha lizoncoma ukuzivocavoca okulula ukusiza ekunciphiseni ukuqina nokuqina kwezingalo namahlombe akho.Uzofundiswa. Lezi zivivinyo zizonciphisa nokwakheka kwezicubu zesilonda. Ngaphambi kokuba uphume esibhedlela, uzochazelwa konke, njengokuthi ungalinakekela kanjani inxeba ekhaya nokuthi ungalithatha kanjani imithi.
Isikhathi Sokululama:
- Ngokuvamile kuthatha cishe amasonto amathathu kuya kwamane ukuze kutholakale ukwelashwa kokuqala .
- Uma uke wahlinzwa ukuvuselelwa kwebele, kungathatha amasonto afinyelela kwayi-8 ukuphulukiswa.
- Kungathatha izinyanga eziningana ngaphambi kokuba uqalise yonke imisebenzi yakho evamile, ikakhulukazi izinto ezifana nokuphakamisa izinsimbi.
Yiziphi izingozi nezinkinga zalokhu kuhlinzwa?
Njenganoma yikuphi ukuhlinzwa, lokhu kunezingozi ezithile.
- Ukopha
- Ukutheleleka
- Ukulahlekelwa umuzwa ebeleni nasengonweni
Ngaphezu kwalezi zingozi zomzimba, kukhona enye into ebalulekile okufanele icatshangelwe: umthelela wengqondo .
Ungase uzizwe ukhathazekile futhi udabuke ngomzimba wakho ngemva kokuhlinzwa. Ukulahlekelwa yibele elilodwa noma womabili kungaba nzima ngokomzwelo ukubhekana nalo. Lokhu kujwayelekile kakhulu. Ungalwi nale mizwa wedwa. Kungasiza kakhulu ukukhuluma nodokotela wezifo zengqondo noma umeluleki ongakusiza ukuthi ukhulume ngalokhu futhi akusize ubhekane nakho.
Kufanele ngimbone nini udokotela ngemva kokuhlinzwa?
Uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo ngemuva kokubuyela ekhaya ngemuva kokuhlinzwa, kufanele ushayele udokotela wakho ucingo ngokushesha .
- Uma uhlaselwa umkhuhlane .
- Uma inxeba liphuma igazi .
- Uma ubuhlungu bungapheli ngemva kwamasonto ambalwa noma uma buba bubi kakhulu.
- Uma kukhona ukubomvu nokuvuvukala okuzungeze isilonda.
- Uma uzwa ukufudumala eduze kwe-incision.
Lezi kungaba izimpawu zokutheleleka, ngakho-ke kubaluleke kakhulu ukuzibika ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- Ukuhlinzwa kwe-Prophylactic Mastectomy akuyona eyawo wonke umuntu. Kwenziwa kuphela kulabo abasengozini enkulu yokuba nomdlavuza webele.
- Uma kwenziwa kumuntu ofanele, lokhu kuhlinzwa kunganciphisa ingozi yomdlavuza webele ngo-90-95%.
- Kunezindlela ezahlukene zokwenza ukuhlinzwa, futhi kukhona nenketho yokwakha kabusha amabele ngesikhathi esifanayo noma ngemva kokuhlinzwa kwebele.
- Kuthatha isikhathi ukuphulukiswa ngokomzimba nangokwengqondo. Kuvamile ukuzizwa udangele futhi ukhathazekile njengoba umzimba wakho ushintsha. Unganqikazi ukufuna usizo kuchwepheshe wezempilo yengqondo.
- Lesi yisinqumo esikhulu kakhulu nesiqondene nawe esizothinta impilo yakho. Ngakho-ke, khuluma nodokotela wakho ngakho ngokucophelela, uqonde zonke izinzuzo nezingozi, bese wenza isinqumo esifanele wena.
💬 Comments (0)
Awekho amazwana athunyelwe okwamanje. Faka amazwana akho lapha okokuqala ngqa.
Engeza amazwana akho